Individual
MR. GEORGE MUSTAPHA MASSAQUOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10201 PEMBROOKE GREEN PL#78, PL#78, COLUMBIA, MD 21044-2104
(201) 989-7716
(202) 516-4995
Mailing address
10201 PEMBROOKE GREEN PL#78, PL #78, COLUMBIA, MD 21044
(201) 989-7716
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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